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Homestead_Buck (7) MATE FORM n,e.,le/WO 1RFAA:RIA FORM 11a .VFROVE°By NT•TF.DRAM)OF Y1 n.%WS._'N PRESCRIBED BY Mr Dr7aRn 'YT OF LOCAL rawrR`rstrtr FINANCE MVI.1-L'41 Gibson y Auditor 101 Main N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 101 PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction become, more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher in bills for all:therefore. HEA 1341-2009 requires taxpayers who receive the homestead standard deduction to verity that they are eligible to receive the • benefit and to provide additional identifying informatiun necessary to allow county government to better monitor homestead filings.This information will he kept confidential and can only be accessed by authorized county officials.The l)epanntent of Local Government Finance will use this information to create Ws that will help county official.eliminate homestead fraud. PART 1: PROPERTY INFORMATION Taxpayer Name Property Address Buck, Dana S/Linda K l22 Box 309 Buckskin IN 47647 8802 Dana S/Linda K Buck 8187E 900 S State Parcel Number Legal Description Buckskin IN 47647 26-20-28-200-000.089-001 001-00089-00 E W NE 28-3-9 28.68 AC 0-19 PART 2:TAXPAYER 1NFOR)1ATION Owner I First Middle Last 1AN4 Star_ a' uCk 'Dv Address(number and street.city,state,and ZIP code) - ame as property address' - - - - - ' 81 ' -i E 9 oo s I2UG<-siU/v IAJ 47G CI7 Spouse First Middle Last Mailing Address(Number and street,city,state,and ZIP code) 'Same as property address 3181 coos EwoxaSK/ 47oc Z PART 3:CERTIFICATION Each undersigned certifies,under penalty of perjuy,that the above and foregoing information is true and correct and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions unlawfully,he or she may be liable for back taxes and substantial financial penalties. Ow Signature Date • DD / -0008! 10O Form HC 10 Supplement Worksheet for March 1, 1989 Assessed Valuation J HOMESTEAD CREDIT CALCULATION FOR 1989 I hereby tify the abov%, 4 true, correct, and complete. Signa re of As sor STANDARD DEDUCT ION °CALCULATION IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home- stead Credit is entitled a Standard Deduction. . . Amount of Deduction Allowed 1989 pay 1990 1990 pay 1991 1991 pay 1992 ears after (same lesser of: 1/2 lesser of 1/2 lesser. of 1/2 "R" A/V or "R" A/V or "R" A/V or as 1941) $2,500 $2,000 s1,500 Signatur GWM =11MAMM County Township Taxing District Name of Taxpayer Parcel No. or Legal Description t-JE $- 3 -! 685 ASSESSORS CALCULATION True Tax Assessed R NR Value Value Resid. Non -Res. Land (1 acre maximum) (1) � g ° 0 3 O XXXXXXXX Other Land: (2) XXXXXXXX 1970 Total .Land (3) Residence (Dwelling) (4)' XXXXXXXX (5) / '7 T3 O XXXXXXXX Garage Other Improvements (6) XXXXXXXX, p a %O 3 O Total Improvements (7) Total Land.and Improvements. w (8) I hereby tify the abov%, 4 true, correct, and complete. Signa re of As sor STANDARD DEDUCT ION °CALCULATION IC 6- 1.1 -12 -37 provides that a person who is entitled to a Home- stead Credit is entitled a Standard Deduction. . . Amount of Deduction Allowed 1989 pay 1990 1990 pay 1991 1991 pay 1992 ears after (same lesser of: 1/2 lesser of 1/2 lesser. of 1/2 "R" A/V or "R" A/V or "R" A/V or as 1941) $2,500 $2,000 s1,500 Signatur GWM =11MAMM